永久性肠造口患者健康内外控和生活质量的相关研究

A study on the correlation between internal- external locus of control and quality of life in patients with intestinal stoma

目的:探讨永久性肠造口患者健康内外控和生活质量的相关性。方法:采用方便取样的方法,利用自制的一般情况调查表、多面向健康控制核心量表及欧洲癌症研究与治疗组织的生活质量核心量表(QLQ-C30)对我院门诊随访的98例永久性肠造口患者进行问卷调查。结果:永久性肠造口患者健康内控评价得分(18.5±8.9)分,权利在他人得分(27.0±7.8)分,机运得分(21.8±9.8)分。永久性肠造口患者总生活质量得分(47.23±18.55)分,社会功能(33.50±15.68)分,角色功能(35.33±25.78)分,躯体功能(52.30±26.20)分,情绪功能(64.67±18.21)分,认知功能(65.30±19.12)分;健康内控与总生活质量呈正相关,并同时与社会功能、角色功能、躯体功能、情绪功能及认知功能呈正相关;权利在他人与生活质量Pearson相关系数为-0.51;机运与生活质量Pearson相关系数为0.65。结论:健康内外控与永久性肠造口患者的生活质量密切相关,受患者的教育程度、接受相关知识渠道及经济状况和性格影响,通过影响患者的健康内外控信念可进一步影响患者的生活质量。

Objective：To explore the relationship between internal - external locus of control and quality of life in patients with intesti- nal stoma. Methods ： A questionnaire survey was conducted to investigate 98 patients with permanent intestinal stoma in our hospital by using the general questionnaire and QLQ - c30. Results： The scores of internal locus of control of patients with permanent intestinal stoma were 18.5±8.9 points ; the scores of right in others were 27.0±7.8 points ; the scores of quality of life were 47.23±18.55 points ; the scores of social function were 33.50±15.68 points;the scores of role function were 35.33±25.78 points;the scores of somatic function were 52.30±26.20 points ; the scores of emotional function were 54.67±18.21 points ; the scores of cognitive function were 65.30±19. 12 points. The internal locus of control was positively correlated with overall quality of life. Conclusion ：The internal - external locus of con- trol is closely related to the quality of life of patients with permanent intestinal stoma, and the quality of life of the patients is influenced by the level of education,economic status and personality.